# RIDGECREST REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487087813
- **Authorized official:** MR. WILLIAM ROTHNER (OWNER)
- **Authorized official phone:** (847) 905-4000

## Contact information

- **Practice address:** 3110 SCOTT CIR, OMAHA, NE 68112-2604
- **Practice address phone:** (402) 455-6636
- **Mailing address:** 2201 MAIN ST, EVANSTON, IL 60202-1519
- **Mailing address phone:** (847) 905-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NE | Yes |

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 08/21/2013